Active NPI
Pilsen Medical Clinic & Associates, LLC
- Family Medicine Physician
- Elmhurst, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PILSEN MEDICAL CLINIC & ASSOCIATES, LLC
- Practice address
- 533 W North Ave Ste 101
Elmhurst, IL 60126-2100 - Phone
- (312) 738-3355
- Fax
- (312) 564-5252
- NPI assigned
- Oct 29, 2012
- Last updated
- Aug 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naseem Fatima, MD
- Title
- Owner
- Phone
- (925) 548-6644
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
533 W North Ave Ste 101
Elmhurst, IL 60126-2100
Mailing address
533 W North Ave Ste 101
Elmhurst, IL 60126-2100
Phone (312) 738-3355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2343183 | Pilsen Medical Clinic & Associates | Certificate of waiver | May 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
1870 S Blue Island Ave
Fl 2
Chicago, IL 60608
Phone (312) 492-9780
4415 Harrison St
Hillside, IL 60162
Phone (312) 738-3355
4415 Harrison St
Ste 247
Hillside, IL 60162
Phone (312) 738-3355
Interoperability endpoints
- https://api.platform.athenahealth.com/17656/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Elmhurst, IL
- NPI 1710393210
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1386461150
-
- Gerontology Nurse Practitioner
- Bartlett, IL
- NPI 1265243851
-
- Family Nurse Practitioner
- South Holland, IL
- NPI 1447794144
-
- Internal Medicine Physician
- Huntley, IL
- NPI 1447254255
-
- Family Medicine Physician
- Elmhurst, IL
- NPI 1184939787
-
- Medical Physician Assistant
- Oak Park, IL
- NPI 1376652370
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1053980334
-
- Anesthesiology Physician
- Geneva, IL
- NPI 1407913684
-
- Physician Assistant
- Chicago, IL
- NPI 1396181699
-
- Psychiatry Physician
- Willowbrook, IL
- NPI 1154377836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785542400000",
"number": "1790039725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 W NORTH AVE STE 101",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262100",
"telephone_number": "312-738-3355",
"fax_number": "312-564-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 W NORTH AVE STE 101",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262100",
"telephone_number": "312-738-3355",
"fax_number": "312-564-5252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PILSEN MEDICAL CLINIC & ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-29",
"last_updated": "2026-08-01",
"certification_date": "2026-08-01",
"status": "A",
"authorized_official_last_name": "FATIMA",
"authorized_official_first_name": "NASEEM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "925-548-6644",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.